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Organization
CENTRO DE MEDICINE DE FAMILIA DE JUNCOS
Active
Organization
CENTRO DE MEDICINE DE FAMILIA DE JUNCOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANNETTE BERRIOS OCASIO MD (MEDICODE FAMILIA PRESIDENTE)
(787) 734-4488
Entity
Organization
Contact information
Practice address
PEDRO CRUZ MARGINAL #52 URB VALENCIA #1, JUNCOS, PR 00777
(787) 734-4488
(787) 734-5460
Mailing address
PO BOX 1569, JUNCOS, PR 00777-1569
(787) 734-4488
(787) 734-5460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9865
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067845
CRUZ AZUL
—
01
—
200228
UTI
—
01
—
34135
PROSSAM
—
01
—
3471
PREFERRED MEDICAL CHOICE
—
01
—
3609865
UIA
—
01
—
500097SE
MMM
—
01
—
6660041
HUMANA
—
01
—
82139
TRIPLE S
—
01
—
8230
IMC
—
01
—
PE2342
PALIC
—
Enumeration date
11/17/2005
Last updated
08/22/2020
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